ALDA Chapter Petition

ALDA CHAPTER CHARTER PETITION

This form needs to be completed and submitted in order to request that ALDA, Inc. grant the petitioners an ALDA Chapter Charter.

We, the petitioners below, are committed to improving the lives of late-deafened adults. Accordingly, we hereby petition ALDA, Inc. to grant us a charter as an affiliated ALDA Chapter operating under franchise of ALDA, Inc.
We are in agreement with and accept the Chapter By-laws provided by ALDA, Inc. We will abide by them and any policies approved by the ALDA, Inc. Board of Directors which are relevant to local Chapters.
We pledge that our Chapter will hold meetings on a regular basis, a minimum of two (2) per year, and that we will strive for the creation of a stress-free communications environment at all of our functions. Those meetings may consist of program presentations, social activities, educational outings, the conduct of Chapter business, and so forth. In addition to holding regular meetings, our Chapter will maintain an outreach program which, at minimum, shall include ongoing efforts to identify and recruit new members, to work with other organizations and deaf service providers in our area for the common good of people with hearing loss, and to promote the existence, purposes and functions of ALDA, Inc. whenever and wherever possible.
We attest that we are eighteen (18) years of age or older, current members of ALDA, Inc., and that our dues are paid up-to-date. We have provided our names, addresses, phone numbers, and email addresses below, as well as identified the officer positions that we will hold if this petition is granted. In addition, we have provided a brief summary of our activities during the past year or since our group began meeting (whichever time period is shorter), and we have given two choices for our requested Chapter name.
Date*
MM slash DD slash YYYY
Please provide contact information for the petitioner who will serve as PRESIDENT of the requested ALDA Chapter.
Name*
First Last
Address*
Street Address City State ZIP Code
Phone
Email*
Please provide contact information for the person who will serve as VICE PRESIDENT of the requested ALDA Chapter.
Name*
First Last
Address*
Street Address City State ZIP Code
Phone
Email
Please provide contact information for the person who will serve as SECRETARY of the requested ALDA Chapter.
Name*
First Last
Address*
Street Address City State ZIP Code
Phone
Email*
Please provide contact information for the person who will serve as TREASURER of the requested ALDA Chapter.
Name*
First Last
Address*
Street Address City State ZIP Code
Phone
Email
Requested Chapter Name: (1st Choice)*
Requested Chapter Name: (2nd Choice)
Brief Summary of Past Group Activities:*
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ALDA CHAPTER CHARTER PETITION

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